脉冲式空气灌肠治疗小儿肠套叠(附86例分析)

目的:探讨脉冲式空气灌肠治疗小儿急性肠套叠的临床价值和疗效。方法:经肛门插入Foley气囊导管,连接脉冲灌肠整复仪,先行诊断性空气灌肠,确诊为肠套叠后行脉冲空气整复,难复型结合手法按摩,本组病例气压选择在8~16KPa之间。结果:86例患者中,回—结肠型72例(83.7%),回—回—结肠型14例(16.3%),套头位于回盲部25例,升结肠17例,结肠肝曲14例,横结肠8例,结肠脾曲9例,降结肠5例。81例患者复位成功,成功率约94.2%。结论:脉冲式空气灌肠能减轻套叠部位的痉挛与水肿,提高肠套叠的整复成功率。

The treatment of pediatric acute intussusception by pulse air enema(analysis of 86 cases)

Objective:To investigated the clinic value and therapeutic effect of pulse air enema in treatment of pediatric acute intassusception.Methods:The foley sacculus proprius duct was inserted into rectum and connected with pulse enema taxis instrument.All case were made with pulse air pressure taxis after pediatric acute intussusception was clear diagnosis by diagnostic air enema.Results:72 of 86 cases were ileal-colon type(83.7%),14 cases were ileal-ileal-colon type(16.3%),which 25 cases lain in ileocecal junction,17 cases in ascending colon,14 cases in hepatic flexure of colon,8 cases in transverse colon,9 cases in splenic flexure of colon and 5 cases in decending colon.81 cases were successful reposition.Conclusion:Pulse air enema could relieved intestine spasm and edema of intussusception and increased the rate of reposition.